| Organization Name: | MARSHALL PEDIATRIC THERAPY, LLC |
| NPI Number: | 1942638127 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAM MARSHALL (OWNER) |
| Mailing Address: | 527 Watson Rd Erlanger |
| State: | KY US |
| Postal Code: | 410181556 |
| Phone Number: | 8592242273 |
| Fax Number: | 8592244675 |
| NPI Enumeration Date: | 10/24/2013 |
| NPI Last Update Date: | 10/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 4077 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |